Cardiac septal umbrella for closure of a tracheoesophageal fistula

Endoscopic Occlusion of Tracheoesophageal Fistula in Ventilated Patients Using an Amplatzer Septal Occluder

“…In the few previous reports on TEF occlusion, on two occasions epithelization was evident 3-4 months after the procedure [4,6] and in one case the device had migrated 2 months later into the bronchial tree and fistula was enlarged [5]. In our experience, no epithelization of the disc surface was evident after 6 months in patient 1, and follow up was too brief in the second case.…”

“…In the reported cases both insertion approaches were used. In two out of three of the previously reported cases, an endotracheal approach was taken [4][5][6]. In the closure of a broncho-neo-esophageal fistula, a transesophageal approach was preferred [7].…”

“…Amplatzer septal occluder was previously used for the closure of tracheoesophageal, bronchopulmonary and broncho-neo-esophageal fistulas [4][5][6][7][8][9][10]. The present report describes the use of this device for endoscopic repair in mechanically ventilated patients.…”

Closure of Nonmalignant Tracheoesophageal Fistula Using an Atrial Septal Defect Occluder: Case Report and Review of the Literature

“…2). Because endoesophageal placement of the ASD occluder for closure of TEF has been reported to result in its migration into the airway [9], we chose an endotracheal approach, leaving the larger, distal umbrella in the esophagus, to prevent device migration. The patient received intravenous anesthesia, endotracheal intubation, and ventilator assistance.…”

“…Nonmalignant TEF is rare, and causes can include congenital dysplasia, complication of surgery or sent placement, trauma, infection, and long-term intubation [3][4][5][6][7][8][9][10]. Surgery is usually required to treat nonmalignant TEF [3,4].…”